MEDICARE: THI NGUYEN MSN, RN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	787409	CA

General Provider Information

NPI Number	:	1316870728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THI NGUYEN MSN, RN, FNP-C

Provider Business Mailing Address
First Line	:	18309 LAHEY ST
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91326-2532
Country	:	US
Telephone Number	:	818-635-3422
Fax Number	:

Provider Business Practice Location Address
First Line	:	18309 LAHEY ST
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2532
Country	:	US
Telephone Number	:	818-635-3422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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